Individual
JACOB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2055 E SOUTH BLVD STE 601, MONTGOMERY, AL 36116-2014
(334) 747-2999
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1613
AL
Other
Enumeration date
05/15/2011
Last updated
10/17/2023
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